Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $109.65 / $223.87	Facility		$45.71	$109.65	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $72.44	Professional		$20.89	$26.92	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $107.15	Facility		$47.86	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $58.88	Professional		$19.50	$34.67	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $75.86	Professional		$29.51	$64.57	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $173.78	Facility		$29.51	$61.66	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $72.44	Professional		$25.70	$33.88	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $66.07	Facility		$29.51	$29.51	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $97.72	Facility		$26.92	$42.66	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $79.43	Professional		$29.51	$33.11	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $123.03	Facility		$44.67	$89.13	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $35.48	Professional		$22.39	$26.92	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $47.86	Facility		$35.48	$35.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $41.69	Professional		$12.30	$16.98	$41.69